| NPI | 1013469832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN E CARLONI Executive Director 410-535-4787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |